NPI | 1588914204 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN MICHAEL MANJARRES Owner 415-990-6355 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A100304) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2014-10-31 |